EP1886620A3 - Medizinisches Instrument - Google Patents

Medizinisches Instrument Download PDF

Info

Publication number
EP1886620A3
EP1886620A3 EP07112316A EP07112316A EP1886620A3 EP 1886620 A3 EP1886620 A3 EP 1886620A3 EP 07112316 A EP07112316 A EP 07112316A EP 07112316 A EP07112316 A EP 07112316A EP 1886620 A3 EP1886620 A3 EP 1886620A3
Authority
EP
European Patent Office
Prior art keywords
instrument
overtube
rotation
angled
distal end
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP07112316A
Other languages
English (en)
French (fr)
Other versions
EP1886620A2 (de
EP1886620B1 (de
Inventor
Sebastian Schostek
Chi-Nghia Ho
Fabian Rieber
Marc Oliver Prof. Dr. Med. Schurr
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novineon Healthcare Tech Partners GmbH
Original Assignee
Novineon Healthcare Tech Partners GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Novineon Healthcare Tech Partners GmbH filed Critical Novineon Healthcare Tech Partners GmbH
Publication of EP1886620A2 publication Critical patent/EP1886620A2/de
Publication of EP1886620A3 publication Critical patent/EP1886620A3/de
Application granted granted Critical
Publication of EP1886620B1 publication Critical patent/EP1886620B1/de
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055Constructional details of insertion parts, e.g. vertebral elements
    • A61B1/0056Constructional details of insertion parts, e.g. vertebral elements the insertion parts being asymmetric, e.g. for unilateral bending mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00135Oversleeves mounted on the endoscope prior to insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22055Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with three or more balloons

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Abstract

Gegenstand dieser Erfindung ist ein Instrumentensystem, bestehend aus mindestens einem abwinkelbaren Instrument, einem angepassten Griff zur manuellen Steuerung des abwinkelbaren Instruments und einem Overtube zur Aufnahme und Einführung mindestens eines abwinkelbaren Instruments in den menschlichen Körper. Das Kamerasystem wird wahlweise durch den Overtube eingeführt oder ist am distalen Ende des Overtubes angebracht.
Der Instrumentenschaft ist achsensymmetrisch ausgestaltet, sodass keine Vorzugsbiegerichtung des Instrumentenschaftes vorhanden ist. Eine Drehung des Instruments in gebogenem Zustand ist damit unabhängig vom eingestellten Drehwinkel. Der Overtube weist ein Element auf, mit dem die Rotation und der Vorschub des distalen Endelements des Overtube vom proximalen, extrakorporalen Ende aus steuerbar sind. Die Instrumentenkanäle sind weitgehend mechanisch von diesem Element entkoppelt.
EP07112316.0A 2006-08-10 2007-07-12 Medizinisches Instrument Expired - Fee Related EP1886620B1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102006000399A DE102006000399A1 (de) 2006-08-10 2006-08-10 Medizinisches Instrument

Publications (3)

Publication Number Publication Date
EP1886620A2 EP1886620A2 (de) 2008-02-13
EP1886620A3 true EP1886620A3 (de) 2008-02-20
EP1886620B1 EP1886620B1 (de) 2013-10-02

Family

ID=38561697

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07112316.0A Expired - Fee Related EP1886620B1 (de) 2006-08-10 2007-07-12 Medizinisches Instrument

Country Status (4)

Country Link
US (1) US20080051802A1 (de)
EP (1) EP1886620B1 (de)
JP (1) JP5213380B2 (de)
DE (1) DE102006000399A1 (de)

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US8231524B2 (en) * 2005-09-20 2012-07-31 Ai Medical Devices, Inc. Endotracheal intubation device
US7993808B2 (en) * 2005-09-30 2011-08-09 Taiwan Semiconductor Manufacturing Company, Ltd. TARC material for immersion watermark reduction
US7749249B2 (en) 2006-02-21 2010-07-06 Kardium Inc. Method and device for closing holes in tissue
EP2021063B1 (de) * 2006-05-19 2013-05-15 Boston Scientific Limited Steuermechanismus für lenkbare medizinische geräte
WO2007149841A2 (en) 2006-06-20 2007-12-27 Aortx, Inc. Torque shaft and torque drive
US8449605B2 (en) 2006-06-28 2013-05-28 Kardium Inc. Method for anchoring a mitral valve
US7837610B2 (en) 2006-08-02 2010-11-23 Kardium Inc. System for improving diastolic dysfunction
US20090299352A1 (en) * 2007-12-21 2009-12-03 Boston Scientific Scimed, Inc. Steerable laser-energy delivery device
US8137336B2 (en) * 2008-06-27 2012-03-20 Boston Scientific Scimed, Inc. Steerable medical device
US7780648B2 (en) * 2007-12-28 2010-08-24 Boston Scientific Scimed, Inc. Controlling movement of distal portion of medical device
US7823321B2 (en) * 2008-01-28 2010-11-02 The United States Of America As Represented By The Secretary Of Commerce DNA sampling hook
US8048024B2 (en) 2008-03-17 2011-11-01 Boston Scientific Scimed, Inc. Steering mechanism
EP3269294A1 (de) 2008-04-18 2018-01-17 Fortimedix Surgical B.V. Instrument für endoskopische anwendungen oder dergleichen
US20090287304A1 (en) * 2008-05-13 2009-11-19 Kardium Inc. Medical Device for Constricting Tissue or a Bodily Orifice, for example a mitral valve
US8048025B2 (en) 2008-07-07 2011-11-01 Boston Scientific Scimed, Inc. Multi-plane motion control mechanism
DE102008034425A1 (de) * 2008-07-23 2010-01-28 Polydiagnost Entwicklungs-, Produktions-, Vertriebs- Und Service Gesellschaft Mbh Endoskop
AU2009275608A1 (en) 2008-07-31 2010-02-04 Surgical Innovations Limited Endoscopic surgical instrument
US20100069882A1 (en) * 2008-09-18 2010-03-18 Boston Scientific Scimed, Inc. Medical device with preferential bending
US8092722B2 (en) * 2008-09-30 2012-01-10 Sabic Innovative Plastics Ip B.V. Varnish compositions for electrical insulation and method of using the same
US8834357B2 (en) * 2008-11-12 2014-09-16 Boston Scientific Scimed, Inc. Steering mechanism
JP5491084B2 (ja) * 2009-07-01 2014-05-14 幹人 黒田 内視鏡装置
US20110082538A1 (en) 2009-10-01 2011-04-07 Jonathan Dahlgren Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US9339264B2 (en) * 2010-10-01 2016-05-17 Cook Medical Technologies Llc Port access visualization platform
EP2320262A1 (de) * 2009-11-10 2011-05-11 Siemens Aktiengesellschaft Inspektionsvorrichtung und Verfahren zum Positionieren einer Inspektionsvorrichtung
US20120312103A1 (en) * 2009-11-10 2012-12-13 Kerstin Hannott Inspection device and method for positioning an inspection device
US9050066B2 (en) 2010-06-07 2015-06-09 Kardium Inc. Closing openings in anatomical tissue
US8940002B2 (en) 2010-09-30 2015-01-27 Kardium Inc. Tissue anchor system
US9072511B2 (en) 2011-03-25 2015-07-07 Kardium Inc. Medical kit for constricting tissue or a bodily orifice, for example, a mitral valve
CA2843354C (en) * 2011-12-02 2020-02-25 Boston Scientific Scimed, Inc. Positioning device and articulation assembly for remote positioning of a tool
DE102012103503A1 (de) 2012-04-20 2013-10-24 Aesculap Ag Medizinisches TFT-Instrument mit schwenkbarem Elektrodenlager
DK2956202T3 (en) 2013-02-17 2018-11-19 Human Extensions Ltd CONTROLLABLE MEDICAL EQUIPMENT
EP3653105B1 (de) * 2014-03-31 2023-08-09 Human Extensions Ltd. Lenkbare medizinische vorrichtung
EP3206600B1 (de) * 2014-10-18 2018-07-18 Stryker European Holdings I, LLC Chirurgisches instrument mit selektiv biegbarem schaft und kabeln zur selektiven biegung des schaftes in gespanntem zustand bei gebogenem schaft
JPWO2016136353A1 (ja) * 2015-02-26 2017-04-27 オリンパス株式会社 内視鏡システム及び内視鏡較正方法
US10874290B2 (en) 2015-02-26 2020-12-29 Stryker Corporation Surgical instrument with articulation region
PL3092966T3 (pl) 2015-05-11 2021-05-17 Erbe Elektromedizin Gmbh Instrument elektrochirurgiczny
JP6595232B2 (ja) 2015-07-02 2019-10-23 ソニー・オリンパスメディカルソリューションズ株式会社 内視鏡用撮像装置、内視鏡装置、及び内視鏡用ケーブル
JP6599669B2 (ja) * 2015-07-14 2019-10-30 オリンパス株式会社 留置用器具
DE102015222858A1 (de) * 2015-11-19 2017-05-24 Richard Wolf Gmbh Schaftinstrument
WO2017132339A1 (en) * 2016-01-29 2017-08-03 Boston Scientific Scimed, Inc. Sheath for an imaging device
USD965182S1 (en) 2016-03-14 2022-09-27 Travis Christopher Porter Fence post
DE102016113498A1 (de) * 2016-07-21 2018-01-25 Karl Storz Gmbh & Co. Kg Adaptives Laryngoskop und adaptiver Spatel für ein Laryngoskop
US11478234B2 (en) * 2018-03-25 2022-10-25 T.A.G. Medical Products Corporation Ltd. Working channel device for an endoscopic tool
WO2019200476A1 (en) * 2018-04-16 2019-10-24 The Hospital For Sick Children Articulating steerable surgical instrument
DE102018110620A1 (de) * 2018-05-03 2019-11-07 Konstantin Bob Endoskopdeflecting mit distalem Abklappmechanismus
US11903557B2 (en) 2019-04-30 2024-02-20 Psip2 Llc Endoscope for imaging in nonvisible light
DE102020134603A1 (de) * 2020-12-22 2022-06-23 Karl Storz Se & Co. Kg Endoskopische Vorrichtung
CN113057721B (zh) * 2021-03-22 2022-02-25 苏州法兰克曼医疗器械有限公司 一种具有快速定位装置的手术通道
DE102021115475A1 (de) * 2021-06-15 2022-12-15 Konstantin Bob Abklappmechanismus für ein Endoskop
CN117838019B (zh) * 2024-03-08 2024-06-18 深圳科思明德医疗科技有限公司 一种可调弯导管组件及医疗器械

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WO1991001772A1 (en) * 1989-07-31 1991-02-21 Radi Medical Systems Ab Catheter, manipulator and combination thereof
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Publication number Priority date Publication date Assignee Title
DE3804491A1 (de) * 1987-12-02 1989-06-15 Olympus Optical Co Vorrichtung fuer die gehirnchirurgie
WO1991001772A1 (en) * 1989-07-31 1991-02-21 Radi Medical Systems Ab Catheter, manipulator and combination thereof
US5178129A (en) * 1989-12-28 1993-01-12 Kabushiki Kaisha Machida Seisakusho Method of producing bending device
EP0448284A2 (de) * 1990-03-14 1991-09-25 Kabushiki Kaisha Machida Seisakusho Biege-Vorrichtung
DE4414810C1 (de) * 1994-04-28 1995-08-10 Ep Flex Feinwerktechnik Gmbh Endoskoprohrsystem mit einem Zugfederband und einem Stabilisierungsfederband
US6068642A (en) * 1996-03-01 2000-05-30 Orthopaedic Innovations, Inc. Flexible cutting tool and methods for its use
DE19647761C1 (de) * 1996-11-19 1998-01-08 Epflex Feinwerktech Gmbh Handbedieneinrichtung für ein Endoskop
US20020161330A1 (en) * 2001-04-30 2002-10-31 Frank Nguyen Asymmetrical bidirectional steerable catheter
US20020165461A1 (en) * 2001-05-02 2002-11-07 Hayzelden Robert C. Steerable catheter with shaft support system for resisting axial compressive loads
JP2004008367A (ja) * 2002-06-05 2004-01-15 Pentax Corp 内視鏡の付加用処置具案内具
WO2003105922A2 (en) * 2002-06-13 2003-12-24 Existent, Inc. Guidewire system
WO2004064600A2 (en) * 2003-01-15 2004-08-05 Usgi Medical, Inc. Endoluminal tool deployment system
US20040172116A1 (en) * 2003-01-31 2004-09-02 Medtronic, Inc. Arrangement for implanting a miniaturized cardiac lead having a fixation helix
US20050085903A1 (en) * 2003-10-17 2005-04-21 Jan Lau Heart valve leaflet locator
US20060171506A1 (en) * 2004-02-28 2006-08-03 Lovoi Paul A Miniature x-ray tube cooling system
US20060106288A1 (en) * 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device

Also Published As

Publication number Publication date
US20080051802A1 (en) 2008-02-28
JP2008068070A (ja) 2008-03-27
JP5213380B2 (ja) 2013-06-19
EP1886620A2 (de) 2008-02-13
DE102006000399A1 (de) 2008-02-14
EP1886620B1 (de) 2013-10-02

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